Frequently Asked Questions
An Overview of the Information
Our Patients Need and Want to Know
What is Concierge Medicine?
Concierge medicine, also known as direct care, is a patient-physician arrangement in which the patient pays an annual fee for more accessible and personalized service. This model allows the physician to limit the number of patients in the practice in order to provide more thorough, accessible and individualized level of care.
The first practice to implement concierge medicine was started in 1996, and there are now tens of thousands of practices that offer this model of care. We have been offering this service since 2008, one of the first practices in the Tampa Bay area.
Do you draw blood in the office?
Yes, we do offer blood draws in the comfort of our office. We send all blood to an outside lab for processing, who will bill your insurance company. If you are uninsured, self-pay discounts are available. In the event that an in-office blood draw is not convenient to you, we will send you to a facility that works best for you.
Is your fee reimbursable through my insurance company?
Under PPO insurance, a portion of the annual fee may be reimbursable (this does not apply to Medicare patients). It is advised that you check with your insurance company about coverage for non-network provider office visits. Although your insurance is not billed directly, claim forms can be provided to submit to your insurance company. A high deductible health plan with a health savings account (HSA) works well with concierge medicine.
What if I have an HMO?
Unfortunately, due to restrictions of the HMO plan, patients with HMO’s cannot be members of the practice. Your assigned network primary care physician is the only one who can order tests and referrals, many of which require pre-authorization.
Who will take care of me when you are on vacation?
We will arrange for a covering physician to attend to any urgent needs in the event that Dr. Robinson is on vacation.
Can I be a concierge member is I am a “snow-bird”?
Yes, we are very flexible and can work with you on a membership program that meets your needs when you are staying here in Florida.
Do I need to be seasonal if I am a Snowbird, or may I keep you as primary care all year?
You do not have to be seasonal if you are a Snowbird. We can still work with you regardless of your location. However, if you prefer, we will be happy to prorate your fees.
Do you have a cancellation fee policy?
- 90-minute initial appointment cancellation – less than 24 hours’ notice – $100 fee applies.
- 45/60-minute in-office follow-up appointment cancellation – less than 24 hours’ notice – $75 fee applies.
- 15/45-minute telephone consultation appointment cancellation – less than 24 hours’ notice – $50 fee applies.
We appreciate your understanding with keeping your appointments or informing us within a reasonable time if you are unable to keep the appointment. This reduces reschedules and/or with timely notice of change, allows others to benefit from the known availability.
What is the difference between the Concierge and Functional Medicine Programs?
The concierge program is an annual membership plan whereas Dr. Robinson is your primary care physician. Different program (comprehensive, wellness) levels determine the services included in that plan such as routine/urgent visits, discounted rates, and 24/7 physician access. The functional medicine program is a fee-for-service arrangement where Dr. Robinson will act as a consultant to address a specific problem and/or optimize your health but you would continue to maintain a relationship with your primary care physician for urgent problems, prescriptions, and preventive care.
Why don’t you accept payment from insurance companies?
The high-quality care we offer through concierge medicine cannot be achieved within the constraints of health insurance. In an insurance-based practice, the average family physician cares for 3,000-5,000 patients, and sees 25-30 patients a day. This only averages seven minutes of face-to-face time per visit! With our concierge medicine-based practice, patients can expect an average of 45 minutes of face-to-face time with the physician for a routine visit.
Do I still need insurance if I join your practice?
It is advised that all patients have at least catastrophic (high deductible) health insurance since this practice is not a substitute for health insurance. Insurance can be helpful in that it can cover services that are not offered inside the office, including lab, x-rays, medications, emergency room and hospital care, and visits to a specialist. However, we do care for patients without insurance, and try to follow low cost options for additional services, such as labs and x-rays.
Can I pay your fee from a tax-deferred account such as an HSA?
This service should be an allowable expense under a Health Savings Account. Always consult an accountant when making that determination.
What if I have Medicare?
Patients with Medicare may join the practice and be given all of the same services provided to non-Medicare patients. Dr. Robinson has chosen to opt-out of Medicare, meaning that she does not bill Medicare for any of her services. However, Medicare will still cover any medications, labs, tests, or specialty referrals as long as they are covered by Medicare.
What ages do you see?
Dr. Robinson cares for patients of all ages, however, with a small practice we are not able to provide the immunizations required from birth through kindergarten. Immunizations can be done for pediatric members at the Health Department.
Do I have to pay for downtown parking when I come to your office?
You do not have to pay for parking. Complimentary parking is available in our ground/street level parking lot (Entry is off of 2nd St. – identified as “Northern Trust Enter Here”) Our spaces will be marked as ROBINSON MD
If I sign up for the Concierge Program, will I still get Functional Medicine?
Yes, Dr. Robinson always approaches each patient with the functional medicine philosophy with the goal of addressing and correcting the root cause of your health concerns.
What services are available at your office?
– Acute and preventive care
– Comprehensive medical history review
– Annual preventative physical examination
– Well-woman exams/Pap Smear
– Bio-identical hormone therapy (BHRT) for men and women
– EKG, Body Composition Analysis, & blood draws
– Cryotherapy (ie., “freezing” of lesions)
– Urinalysis, Rapid Strep and Flu testing
– Laceration repair & suture removal
– All routine adult immunizations
– B-Vitamin injections and IV Nutritional Therapy
– Joint & soft tissue injections
– School physicals
– Telemedicine appointments
– Blood draws
– Specialty testing such as advanced cholesterol testing, nutritional analysis, hormone testing, food sensitivity and stool testing
– Custom vitamin and supplements
– Bredesen ReCode Protocol for Alzheimer’s/Cognitive Dysfunction
What payment options do you have?
Annual membership fees are paid at the beginning of the membership period, and we offer payment arrangements. Cash, credit card, (Amex/Visa/MC/Discover), or check are accepted.
What type of insurance will work with concierge medicine?
All PPO type health plans and Medicare are compatible with concierge medicine since PPO’s and Medicare do not require patients to see a network physician. A PPO High Deductible Health Plan (HDHP) with a tax-deferred savings account, such as an HSA or Flexible Savings Plan would be the most complimentary insurance with concierge medicine. Unfortunately HMO insurance is NOT a fit with our practice model because we do not participate in a Managed Care Network, therefore cannot write orders.
What if I am hospitalized?
With a small practice, it is challenging to maintain hospital privileges due to the infrequency of hospital admissions. Because of this, Dr. Robinson does not directly admit patients to the hospital. She will coordinate your inpatient care with a “hospitalist”, or a physician who only focuses on inpatient care. She will visit you in the hospital and work with the hospitalist, specialists, and surgeon as your advocate.
When would you see me at my home or office?
New patient visits and annual physicals will always be done in the office. Home or office visits may be necessary based on illness or convenience, and are decided on a case-by-case basis.
Do you offer telemedicine?
Yes, we offer video & telephone conferencing.
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100 2nd Ave S, Suite 904S,
St. Petersburg, FL 33701